Quintin Flynn Boger, AUD
Individual provider Active NPI Audiologist · Boston, MA
NPI 1447828637 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1447828637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 133 Brookline Ave
Boston, MA 02215-3904 - Phone
- (617) 421-5984
- NPI assigned
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boston ENT Associates PC
Practice addresses (Care Compare)
560 Hillside Ave
Needham, MA 02494-1232
Phone (781) 444-4722
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211013000054 | MA | Practitioner - Qualified Audiologist | 1456759059 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Boston ENT Associates, P.C. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511
560 Hillside Ave
Needham, MA 02494
Phone (781) 444-4722
1250 Hancock St
Quincy, MA 02169
Phone (617) 774-0600
1208B Vfw Pkwy
Ste 303
West Roxbury, MA 02132
Phone (617) 524-3864
Interoperability endpoints
- https://api.platform.athenahealth.com/12176/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
133 Brookline Ave
Boston, MA 02215-3904
Mailing address
32 Saint Paul St Apt 1
Brookline, MA 02446-6534
Phone (203) 945-7677
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.